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A Medical Evaluation is started whenever the DMV receives a request for review. These requests come from driver license examiners, family or friends, physicians, law enforcement, the court system, or as a result of a crash report where a medical condition is noted as having contributed to the crash. Requests cannot be submitted anonymously. Caregivers should consider referral for medical review only after they have exhausted other avenues for intervention. If caregivers and loved ones can agree on limiting driving or to retire from driving, then a medical review may not be necessary. Review the information in the How to Help an Aging Driver section of this website for more information on how you can work with your loved one to assess driving, promote safety, and discuss their driving.

What Drivers Can Expect

Once a request has been made, the DMV may contact the driver and request that their doctor complete a medical evaluation form. This information, along with driving history, will be used by a Medical Review Unit, made up of physicians and nurses, to determine the next steps. In some cases, the Medical Review Unit may require additional road testing or an evaluation, such as meeting with a driver rehabilitation specialist or occupational therapist. The Medical Review Unit determines what, if any, driving restriction should apply based on the unique situation of each individual. Restrictions might include limiting speed, distance, or time of day. In some cases, the Medical Review Unit may determine the person is unable to continue driving. These determinations are temporary in some cases, such as when a medical condition improves.

Periodic Reviews and Release from Program

The Medical Review Program may reassess drivers to evaluate changes in their medical conditions. The timeline for these additional evaluations depends on the individual circumstances and will be determined by the Medical Review Unit. These periodic reviews may result in continued restrictions, additional restrictions, or release from the Medical Review Program, depending on the unique set of circumstances.

If a driver’s condition is stable or has improved and they would like to be released from the Medical Review Program, they can mail a letter to the Medical Review Program requesting removal. The Medical Review Program may require updated medical documentation in order to be released.

Appeals

Drivers can appeal decisions made by the Medical Review Unit, but appeals must be made within 10 days of receipt of the Medical Review Unit decision. Drivers who request an appeal will receive an in-person hearing, where a panel of physicians will reconsider the documentation and restrictions and make a final determination. Individuals can also appeal their case to the Wake County Superior Court, if they continue to disagree with the reconsideration panel.

When a driver has held a junior permit for a minimum of six months, he will be allowed to take a road test. If he passes the road test before turning 18 he will be issued a junior license with the following restrictions:

• May not drive with more than one passenger under age 21 unless the passengers are members of his immediately family, or if accompanied by his licensed parent/guardian, person “in loco parentis,” driver education teacher, or driving school instructor
• Driver and each passenger must wear a seat belt
• A junior license will be suspended for 60 days if the driver is convicted of committing a serious traffic violation (generally three points or more) or two other violations while holding a junior license
• A junior license will be revoked for 60 days if driver is convicted of a serious violation (generally three points or more) or two other violations within the first six months after receiving privileges back following suspension or revocation.

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